Evidence map›Paper›PMID 33097974›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2021

Fully automatic segmentation of diffuse large B cell lymphoma lesions on 3D FDG-PET/CT for total metabolic tumour volume prediction using a convolutional neural network.

Paul Blanc-Durand, Simon Jégou, Salim Kanoun, Alina Berriolo-Riedinger, Caroline Bodet-Milin, Françoise Kraeber-Bodéré, Thomas Carlier, Steven Le Gouill, René-Olivier Casasnovas, Michel Meignan and 1 more

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Article in European journal of nuclear medicine and molecular imaging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed
8.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 135 citations in OpenAlex.

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12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 1 country.

Paul Blanc-DurandDepartment of Nuclear Medicine, CHU H. Mondor, AP-HP, F-94010, Créteil, France. paul.blancdurand@aphp.fr.ORCID http://orcid.org/0000-0003-1197-2879
Simon JégouOwkin, F-75010, Paris, France.
Salim KanounLYmphoma Study Association (LYSA), Pierre-Bénite, France.
Alina Berriolo-RiedingerLYmphoma Study Association (LYSA), Pierre-Bénite, France.
Caroline Bodet-MilinLYmphoma Study Association (LYSA), Pierre-Bénite, France.
Françoise Kraeber-BodéréLYmphoma Study Association (LYSA), Pierre-Bénite, France.
Thomas CarlierLYmphoma Study Association (LYSA), Pierre-Bénite, France.
Steven Le GouillLYmphoma Study Association (LYSA), Pierre-Bénite, France.
René-Olivier CasasnovasLYmphoma Study Association (LYSA), Pierre-Bénite, France.
Michel MeignanLYmphoma Study Association (LYSA), Pierre-Bénite, France.
Emmanuel IttiDepartment of Nuclear Medicine, CHU H. Mondor, AP-HP, F-94010, Créteil, France.
Centre National de la Recherche Scientifique · FRCentre Georges François Leclerc · FRCentre Hospitalier Universitaire de Nantes · FRCHU Dijon Bourgogne · FRInserm · FRInstitut Claudius Regaud · FRInstitut national de recherche en sciences et technologies du numérique · FRLymphoma Study Association · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLymphoma lesion detection and segmentation on whole-body FDG-PET/CT are a challenging task because of the diversity of involved nodes, organs or physiological uptakes. We sought to investigate the performances of a three-dimensional (3D) convolutional neural network (CNN) to automatically segment total metabolic tumour volume (TMTV) in large datasets of patients with diffuse large B cell lymphoma (DLBCL).

methodsThe dataset contained pre-therapy FDG-PET/CT from 733 DLBCL patients of 2 prospective LYmphoma Study Association (LYSA) trials. The first cohort (n = 639) was used for training using a 5-fold cross validation scheme. The second cohort (n = 94) was used for external validation of TMTV predictions. Ground truth masks were manually obtained after a 41% SUVmax adaptive thresholding of lymphoma lesions. A 3D U-net architecture with 2 input channels for PET and CT was trained on patches randomly sampled within PET/CTs with a summed cross entropy and Dice similarity coefficient (DSC) loss. Segmentation performance was assessed by the DSC and Jaccard coefficients. Finally, TMTV predictions were validated on the second independent cohort.

resultsMean DSC and Jaccard coefficients (± standard deviation) in the validations set were 0.73 ± 0.20 and 0.68 ± 0.21, respectively. An underestimation of mean TMTV by - 12 mL (2.8%) ± 263 was found in the validation sets of the first cohort (P = 0.27). In the second cohort, an underestimation of mean TMTV by - 116 mL (20.8%) ± 425 was statistically significant (P = 0.01).

conclusionOur CNN is a promising tool for automatic detection and segmentation of lymphoma lesions, despite slight underestimation of TMTV. The fully automatic and open-source features of this CNN will allow to increase both dissemination in routine practice and reproducibility of TMTV assessment in lymphoma patients.

Indexed as

Fluorodeoxyglucose F18Lymphoma, Large B-Cell, DiffuseHumansNeural Networks, ComputerPositron Emission Tomography Computed TomographyProspective StudiesReproducibility of ResultsRetrospective StudiesTumor BurdenFluorodeoxyglucose F18Convolutional neural networkDeep learningLymphomaPositron emission tomographySegmentationTotal metabolic tumour volumeU-net

Identifiers

PMID33097974
OpenAlexW3093550081

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.